James M. Calloway
Individual provider Active NPI Professional Counselor · Mount Enterprise, TX
NPI 1013078096 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1013078096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 16448 (TX)
- Practice address
- 704 W Rusk St
Mount Enterprise, TX 75681-7427 - Phone
- (903) 822-4014
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16448 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ames Counseling and Family Services | Professional | Past | Accepting new patients |
| Ames Counseling and Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16448 | TX | Yes |
Addresses
Primary practice location
704 W Rusk St
Mount Enterprise, TX 75681-7427
Mailing address
PO Box 696
Mount Enterprise, TX 75681-0696
Phone (903) 822-4014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP0053183 | Medicaid | TX |
Other providers in Mount Enterprise, TX
- Hannah Paige Adkison
- Ames Counseling and Family Services
- Latoya Laashly Anderson
- Aaryn Brilee Chapman
- Lizbeth Carol Grubbs
- Carolyn Hight
- Mount Enterprise I, LLC
- Mt Enterprise Community Health Clinic
All providers in Mount Enterprise, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.